Return-Path: <nifl-health@literacy.nifl.gov> Received: from literacy (localhost [127.0.0.1]) by literacy.nifl.gov (8.10.2/8.10.2) with SMTP id i59Cqq911797; Wed, 9 Jun 2004 08:52:52 -0400 (EDT) Date: Wed, 9 Jun 2004 08:52:52 -0400 (EDT) Message-Id: <NFBBKGALGLDMPDGCBKMJGEJMEBAA.siobhan@creighton.edu> Errors-To: listowner@literacy.nifl.gov Reply-To: nifl-health@literacy.nifl.gov Originator: nifl-health@literacy.nifl.gov Sender: nifl-health@literacy.nifl.gov Precedence: bulk From: "Siobhan Blackwell" <siobhan@creighton.edu> To: Multiple recipients of list <nifl-health@literacy.nifl.gov> Subject: [NIFL-HEALTH:4445] Re: Which Test? X-Listprocessor-Version: 6.0c -- ListProcessor by Anastasios Kotsikonas X-Mailer: Microsoft Outlook IMO, Build 9.0.2416 (9.0.2911.0) Content-Transfer-Encoding: 7bit Content-Type: text/plain; Status: O Content-Length: 4475 Lines: 123 Thank you for saying this. As I have been reading about the various literacy tests, that has been my thought - how do the people who take the tests feel about taking them, and does the fact that they know they might have to take a test like this keep them from seeking health care? Now, my question is, what else can a health care provider use to determne if a person can read the literature s/he is being given, or understand what is written on the medicine. Siobhan Siobhan M. Champ-Blackwell, MSLIS NN/LM-MCR Community Outreach Liaison Creighton University Health Sciences Library 2500 California Plaza Omaha, NE 68178 siobhan@creighton.edu 402-280-4156 http://nnlm.gov/mcr/inner_city/ Progress is more plausibly judged by the redcution of deprivation than by the further enrichment of the opulent - Amartya Sen -----Original Message----- From: nifl-health@nifl.gov [mailto:nifl-health@nifl.gov]On Behalf Of Archie Willard Sent: Tuesday, June 08, 2004 5:34 PM To: Multiple recipients of list Subject: [NIFL-HEALTH:4442] Re: Which Test? To All I have said this before, but I think it is worth repeating. I do not like to take written tests to receive health care. As a dyslexic and an adult learner with reading problems I speak for a lot of adult learners. We hate having to take another written literacy test. People with other kinds of handicaps are not continually asked to expose their weaknesses to whatever degree they are handicapped. There is no physical pain in taking a written test, but when we have to take a written test there is a lot of frustration inside of us. We grow up feeling humiliated because we had poor reading skills and now we are adults. More written tests are seen as another step backwards for us and it turns us away. Archie Willard Adult Learner David Rosen wrote: > NIFL Health Colleagues, > > I have not seen the REALM before, so thanks, Carol, for the Web page. > Now that I have seen it, I am concerned. > > It is not clear to me what this assessment measures. It doesn't > measure grade level, which is what it appears to report, and it > doesn't measure comprehension. It appears to measure one's ability to > pronounce medical vocabulary. I, for one can probably pronounce > hundreds of medical words which I do not understand the meaning of. > And I know people who do understand the meaning of some medical words > but cannot pronounce them. So, can someone explain what this > assessment does validly measure? > > I also have some concerns about administering literacy assessments in > medical contexts. If someone comes in for medical help, isn't it the > institution's or agency's responsibility to provide medical help, not > to assess their literacy. For example, at least one hospital in > Boston does not bring up literacy, per se. Instead, patients with > diseases or medical conditions are told "You have a disease that you > need to learn about. What ways would you prefer to learn about it? > Would you like to talk with someone? Read about it? Watch a video?" > Patients who do not choose to read may or may not have difficulty > reading, but that isn't the problem. Especially a time of crisis is > not the time to confront problems of literacy. The problem is how to > help patients learn what they need to in ways which work best for them. > > Others views on this? Do you use the REALM? How? Why? Please help > me to understand the conditions under which it would be useful. Have I > missed something? > > Thanks, > > David J. Rosen > djrosen@comcast.net > > > > On Tuesday, June 8, 2004, at 04:37 PM, Walter F. Wallace wrote: > >> Tx everyone for the leads on REALM...got to the heart of the matter... >> >> Walter >> >> Walter F. Wallace >> ACGME Regulations Manager >> GME Office >> Dartmouth-Hitchcock Medical Center >> 603-653-0466 (V) >> 603-653-0405 (F) >> Pager 5860 >> ******************************************** >> IMPORTANT NOTICE REGARDING THIS MESSAGE >> This e-mail transmission is for the sole use of the intended >> recipient(s) and may contain confidential and privileged information. >> Any unauthorized review, use, disclosure, or distribution violates >> confidentiality and privacy laws, and is prohibited. If you are not >> the intended recipient, please contact the sender immediately and >> destroy all copies of the message. Thank you for your cooperation. >> > -- Archie Willard millard@goldfieldaccess.net URL - http://www.readiowa.org/archiew.html
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